Solidarity, vulnerability and mistrust: how context, information and government affect the lives of women in times of Zika
Solidarity, vulnerability and mistrust: how context, information and government affect the lives of women in times of Zika
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DOI：
10.1186/s12879-020-04987-8
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发表时间：
2020-04-03
影响因子：
3.7
通讯作者：
Siqueira, Eduardo
中科院分区：
文献类型：
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作者：
Linde-Arias, Ana Rosa;Roura, Maria;Siqueira, Eduardo
寨卡疫情的公共卫生应对主要集中在流行病学监测、病媒控制和个人层面的预防措施。这项定性研究采用社会生态框架，研究宏观（历史，立法，政治，社会经济因素），中观（信息来源，社会支持，社会动员）和微观因素（个人行动，行为变化）如何相互作用，影响妇女在不同背景下对寨卡病毒的反应和行为。方法采用定性研究方法。通过滚雪球抽样技术从巴西、波多黎各和美国各地招募妇女。他们属于不同的国籍和种族。通过半结构化访谈收集数据。使用主题分析法对数据转录本进行分析。本研究中的妇女认为所提供的信息不充分，这导致她们积极接触并接触各种媒体来源。社交网络在分享信息方面发挥了至关重要的作用，但也导致了恶作剧或谣言的传播。我们研究的参与者感知到社会经济不平等，但专注于如何补救他们的微环境。他们没有参加重大的社会活动。对政府缺乏信任使妇女处于弱势地位，使她们无法遵循卫生当局的指导。造成这些影响的另一个原因是，卫生和政府行政部门采取的应对策略未能确保本国人民的福祉。我们的研究结果呼吁公共卫生干预措施，超越个人层面的行为改变运动，更全面地解决更广泛的中观和宏观层面的因素，影响妇女的意愿和可能性，以保护自己。
Background The public health response to Zika outbreak has mostly focused on epidemiological surveillance, vector control, and individual level preventative measures. This qualitative study employs a social-ecological framework to examine how macro (historical, legislative, political, socio-economic factors), meso (sources of information, social support, social mobilization) and micro level factors (individual actions, behavioral changes) interacted to influence the response and behavior of women with respect to Zika in different contexts. Methods A qualitative study was carried out. Women were recruited through the snowball sampling technique from various locations in Brazil, Puerto Rico, and the United States. They were of different nationalities and ethnicities. Data were collected through semi-structured interviews. The data transcripts were analyzed using thematic analysis. Results Women in this study deemed the information provided as insufficient, which led them to actively reach out and access a variety of media sources. Social networks played a vital role in sharing information but also resulted in the spread of hoaxes or rumors. Participants in our research perceived socio-economic inequities but focused on how to remedy their microenvironments. They did not engage in major social activities. Lack of trust in governments placed women in vulnerable situations by preventing them to follow the guidance of health authorities. These impacts were also a result of the response tactics of health and government administrations in their failed attempts to ensure the well-being of their countries' populations. Conclusions Our findings call for public health interventions that go beyond individual level behavioral change campaigns, to more comprehensively address the broader meso and macro level factors that influence women' willingness and possibility to protect themselves.